DEPARTMENT OF INSURANCE

Affiliations

Name	Fullerton, Michele	DOIID	1061295	NAIC NPN	19031967

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Health	10/16/2019	8/31/2026
Active	Non Resident	Agent	Life	10/16/2019	8/31/2026
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	06/15/2026	08/31/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Accendo Insurance Company	300312	Agent - Health	8/24/2022	11/17/2023
Active	Accendo Insurance Company	300312	Agent - Life	8/24/2022
Active	Aetna Health Inc. (PA)	660717	Agent - Health	9/30/2020
Active	Aetna Health and Life Insurance Company	300523	Agent - Health	8/24/2022
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	9/30/2020
Active	Aetna Life Insurance Company	301140	Agent - Health	9/30/2020
Inactive	American Continental Insurance Company	643130	Agent - Life	8/6/2020	8/11/2021
Inactive	American General Life Insurance Company	301585	Agent - Health	10/17/2022	7/7/2024
Inactive	American General Life Insurance Company	301585	Agent - Life	10/17/2022	7/7/2024
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	5/20/2024	12/16/2024
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	5/20/2024	12/16/2024
Active	Arcadian Health Plan, Inc.	728196	Agent - Health	12/2/2024
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	1/22/2025
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Health	6/10/2021	7/15/2022
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Life	6/10/2021	7/15/2022
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	5/20/2024	12/16/2024
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	8/24/2022
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	8/24/2022
Active	Devoted Health Insurance Company of Kentucky, Inc.	1306593	Agent - Health	11/1/2024
Inactive	Great Southern Life Insurance Company	301443	Agent - Health	10/31/2019	12/21/2022
Inactive	Lumico Life Insurance Company	300354	Agent - Health	6/30/2021	1/30/2023
Inactive	Lumico Life Insurance Company	300354	Agent - Life	4/24/2023	9/13/2024
Active	Molina Healthcare of Kentucky, Inc.	1035856	Agent - Health	10/22/2025
Active	SilverScript Insurance Company	663526	Agent - Health	9/30/2020
Active	Tier One Insurance Company	301056	Agent - Health	7/6/2023
Active	Tier One Insurance Company	301056	Agent - Life	7/6/2023
Inactive	United Home Life Insurance Company	300421	Agent - Life	11/28/2022	3/25/2024
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	1/22/2025
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	1/22/2025
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	9/4/2020	12/29/2021
Active	WellCare Prescription Insurance Inc.	654329	Agent - Health	9/4/2020

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Unified Growth Partners	1338837	Agent - Life	8/28/2024
Active	Unified Growth Partners	1338837	Agent - Health	8/28/2024